Grace is a 23-year-old female who complains of excessive day…

Grace is a 23-year-old female who complains of excessive daytime sleepiness despite getting a full night’s sleep. She also states that she experiences sleep paralysis upon wakening and falls asleep in the middle of the day without warning. After obtaining further information from this patient, the doctor makes a diagnosis of narcolepsy. Due to the severe disruption in her work and social life, Grace would like to start pharmacotherapy immediately. What should Grace be told prior to starting medication?

SD is a 35-year-old male currently in week 10 of treatment f…

SD is a 35-year-old male currently in week 10 of treatment for his first episode of major depressive disorder. Although he reports some improvement in mood, he describes “not feeling as good” when compared to how he felt before the depression began. He also mentions that he saw a TV commercial for quetiapine (Seroquel) to use as an “add-on” to his antidepressant and is now interested in using it along with his current prescription for fluoxetine 10 mg (the dose on which he started). What would you recommend for this patient?

A 5-year-old boy presents for care, accompanied by his mothe…

A 5-year-old boy presents for care, accompanied by his mother. The child is scratching between his legs and has been unable to sleep for the past 2 days. His perianal area is red and irritated and the prescriber has diagnosed the patient with pinworm (Enterobius vermicularis) infection. The mother describes she is experiencing similar symptoms. What is the appropriate intervention for this mother once the pediatrician treats the child?